490120 PHP Contact form

I need a php web form with the following fields:

Name (text field)

Last name (text field)

Date of birth (3 dropdowns or calendar)

Email (text field)

Confirm email (text field)

Website (text field)

Phone number (text field)

Address (text field)

Wish to receive emails from us? (checkbox)

Reason for contact: (dropdown)

- Option 1

- Option 2

- Option 3

- Option 4

- Option 5

This form will send an email with this info to admin and a thank you email to user. No database, just emails.

Need this done quickly.

Beceriler: Her şey Kabul, PHP

Daha fazlasını gör: user contact, php contact, php web form calendar, send form email address, contact dropdown, text form field option, checkbox dropdown, option checkbox php, php admin calendar, confirm php, web contact form, form dropdown, php send emails database, last contact, user phone contact, contact form reason, need contact form website, web form email database, php dropdown admin, phone number php, date birth form, contact form database, contact web form, contact form calendar form, php thank form

İşveren Hakkında:
( 42 değerlendirme ) Santo Domingo, Dominican Republic

Proje NO: #2236031



Read to start Expert here thanks

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